Dog Adoption Application

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Home Phone / Mobile Phone*

Type of Home*

Do you rent or own your home?*

Rent
Own

If renting, please provide your landlord's name and the best way to contact them: Phone, Text or Email*

Safe Hands verifies with all landlords before adopting a pet to their tenants

Does your Landlord have any pet restrictions (i.e. size of pet, number of pets, breed?)*

Yes
No

Please share all pet restrictions

Length of time at current residence?*

Age and relationship of others living in your home?*

Name of first Safe Hands pet you are interested in*

Name of second Safe Hands pet you are interested in (if applicable)

Name of third Safe Hands pet you are interested in (if applicable)

Why are you looking for a new companion animal?*

Who will be the primary caregiver of this animal?*

We are looking for people who will care for this animal for life. By clicking “yes” you understand if you adopt this animal, you are responsible for and will provide all needed medical care or behavior training for the lifetime of this pet. Are you willing and able to make this commitment?*

Yes
No

Have you previously owned any dogs? If so, what kind?*

Are there any dogs, cats, or other pets living in your home?*

Yes
No

If yes, please provide the following: Age, Breed, Gender, spayed or neutered, current on shots, good with other animals for each pet?*

What characteristics are you looking for in a new animal companion?*

On average, how many hours will this animal be left alone in your home per day?*

Where will this animal be kept when unsupervised?*

Do you have a yard and if so, is it fenced?*

Yes, not fenced
Yes, fenced
No Yard

What type of fencing do you have?*

If no, how will you keep this animal on your property?**

How will you keep this animal on your property?*

What activity level would you like your animal to have?*

Low
Moderate
Active
Very Active

How will this animal get exercise?*

What types of socialization opportunities will your new dog/puppy have?*

Have you previously trained a dog or puppy?*

Yes
No

What training methods have you used and/or will you use with your new dog or puppy?*

Will you be enrolling your dog/puppy in obedience classes?*

Yes
No

If you will not be enrolling in a training class, what is your plan for training your new pup?*

Where will this animal sleep at night?*

Under what circumstances would you return this animal to Safe Hands Animal Rescue?*

How did you hear about Safe Hands Animal Rescue?*

Is there anything else you think we should know about your adoptive home?

An electronic copy of your Adoption Application will be emailed to you after submission of this form.

Adoption Application

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